| NPI | 1366996761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R DONOVAN Owner 301-706-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 16448) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |